Abdominal distension

65 y/o male, noted to have huge abdominal distention, pain, and tender to touch. Patient also complaints of loose stools. PMH of CKD stage 3 Gerd. The patient denies any discomfort, No SOB. it looks like ascites. What should be the management plan?

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Huge abdominal swelling without any physical discomfort with ? ,everted umbilicus quite likely a case of fluid in peritoneal cavity or ascitis. Old case of CKD with GERD and now having loose motions Initially an USG to be done as first step of clinical evaluation Bllood for relevant investigation like Hb% Kidney profile liver profile Tapping if ascitic fluid to see presence of blood or not for cell count. malignant cell to exclude any intra abdominal malignancy.

Thanks Dr Shankar Dhamdhere
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X Ray abdomen to see intestine obst USG abd - ascites, gaseous distension, organomegaly, Lab Ix CBC LFT RFT Electrolytes TSH Urine analysis Causes Irritable bowel syndrome, diabetes, functional dyspepsia or transient constipation. Rarely Crohn's disease and ulcerative colitis. Rx Treat underlying causes

IT'S A..CASE OF.. ABDOMINAL DISTENTION .. WITH.. CKD .. AND ..LOOSE MOTIONS.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. * HEMOGRAM.. * URINE ROUTINE.. * BSR..HBA1C.. * LFT..KFT.. * STOOL EXAMINATION..C& S .. * USG..STUDY ABDOMEN.. MEANWHILE TREAT SYMPTOMATICALLY..

Tnx Dr Jaffery
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Do USG abdomen.....if needed do paracentesis. RFT,LFT,CBC&Ascitic fluid analysis should be done. IV fluids, strict monitoring of input and output of fluids... Broad spectrum antibiotics.

usg abdo pelvis CBC Kft Lft Bsl

Cause of huge abdominal distention need to be found out Sonography of abdomen is best initial investigation Blood investigation such as complete blood count, liver function test, renal function test, blood sugar, electrolyte and HbA1c will give very important information

Stool examination, widal test and ultrasound abdomen. Start with ciprofloxacin Ornidazole bd for3 to 5 days

USG of Whole abdomen. Blood for LFT, CBC ESR. Clinical assessment of dehydration. Treatment of Loose stools. Follow up with reports

Thank you Dr Jain, Harshita
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Nil orraly Ryels tube cect abdomen look like perforation

USG &S.PROTINE

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